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Fixed appliance instruction sheet What is a fixed appliance? Can I eat normally with fixed braces? Fixed braces are made up of brackets and bands that are temporarily stuck onto each tooth. A flexible wire joins the brackets in each arch and allows the teeth to be moved into the correct position. Braces may be fitted to the outside or the inside surfaces of the teeth (lingual braces). For the first few days it is best to avoid certain foods and drinks to prevent damage to your teeth and brace. You should avoid: Fixed attachments should not be removed by the patients as trying to remove them may damage the teeth and gums. Will it be painful? The brace may feel rough to the inside of your lips and cheeks for the first week - soft wax is provided and this can ease any initial discomfort. We also recommend you buy some ‘Brace-Eze’ from the reception. There may be tender areas for the first few days due to the pressure put onto them by the brace; this may also be the case after each adjustment. Painkillers, such as the ones you would normally take for a headache, can help. Will I be able to speak normally? You may lisp initially but most people soon adapt and quickly begin to speak clearly within a few days. Lingual braces may take slightly longer to adjust to. How long will I have to wear my brace? The length of treatment varies according to how severe your case is. Fixed braces are generally required for 12-24 months however failed and cancelled appointments or repeated breakages of the brace will add to the overall time. Please take care of your braces. • Sticky, chewy foods such as toffees, boiled sweets, chewing gum, chewy chocolate bars. • Hard foods which might damage the brace such as carrots, tough meats, hard pizza bases and crusty bread. Try cutting food into small pieces and chewing on your back teeth. • Fizzy drinks (including fizzy water) and excessive amounts of fresh fruit juices - these can cause decay and dental erosion. Milk, water and dilute squash are the safest drinks. • Nail biting and pen chewing as this can damage the brace. What about brushing my teeth? The teeth, gums and braces must be kept completely clean. It is important that you brush your teeth thoroughly at least twice a day and ideally carry a spare brush to clean after lunch. If the teeth are not kept clean then permanent staining of the tooth surface (decalcification) can result. This is the first indication of tooth decay and can lead to the treatment being abandoned. Rechargeable electric toothbrushes make the cleaning more effective and are generally recommended for those wearing braces. Air Flossers are also very useful for maintaining hygiene, especially for lingual braces. It is advisable for all patients with braces to buy an orthodontic starter kit from reception. General Dental Care? It is vital that during the course of orthodontic treatment you continue to visit your normal Dentist at least twice per year. This would also include visits to the hygienist to maintain the health of your gums. Please tell us immediately if there are any changes to your registered Dentist. Remember to contact the surgery without delay if there is a concern with your treatment or if you think the brace is broken. For more information on how to keep your smile looking great it is best to visit our website www.bracelands.co.uk REDHILL ORTHODONTIC PRACTICE 43 Hatchlands Road Redhill Surrey RH1 6AP 01737 766177 [email protected] CROYDON ORTHODONTIC PRACTICE 2 Blunt Road South Croydon Surrey CR2 7PA 020 8681 7638 [email protected] CLAREMONT AT FORTYFIVE 45 Foxley Lane Purley Surrey CR8 3EH 020 8660 4365 [email protected]